HomeMy WebLinkAboutCLE201000234 Review Comments Zoning Clearance 2010-11-19i
Application f ®r Zonis Clearance
CLE # 1
- -- ------ _._. - -- - __._._..._._._..- - _._ _ ... - - --
❑ Zoning Clearance = S35 Not'(
Nt —tT
- OFFICE- USE-ONL-Y - - -
Check # Date: IlY I
# Staff:
PLEASE REVIEW ALL 3 SHEETS
Receipt r
PARCEL INFOR IA -T _ _ - --
Tax Map and Parcel: (0 56 A- D- 01' L_0%06 Zoning
1Existing
Parcel Owner: Qa Z t T �S 14d P A 1'n �:irN ZC'� -( t, L C
Parcel Address: 'ifn --Ur (V(JTct4 (City CA4 2.t:7 State iA zip Z2-`13'
(include suite or floor)
PRIMARY CONTACT n
U g W -v-
Mlho should we call /write concerning this project? t-7L7 AC_,ze
Address:-D-5,1 q a f GA-ti 24q e l4 City CW d t LLC, State L Zip
-( 34
Office Phone: L__) ZC( C- ' S e3 ( Cell # Fax # E -mail % W /* L Q° 2S
�LVJ Q-^ A, A- L(a* . U
APPLICANT INFORMATION
Check any that apply: Cha�n^,ge of ownership Change of use Change of name New business
Business Name /Type: -1S' A, S cd At e W AA-C TA-c tc.c' QfN
Previous Business on this site
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide: r-.%,kNA I&t ke A / - yr= GA A-t �'r MMS
.72.4-a-yt s
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning-
Clearance will be required.
I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the infomnation provided
is true and accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature I Cp( ,.S� C.1.� Q^'t- Printed J"I-o 8X27 (.11 A i.��ti S
APPROVAL INFORMATION
Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Bacicflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, xl 17.
[ J No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This site complies with the site plan as of this date.
Notes:
Building Official Date
Zoning Official Date
Other Official Date
County of Albemarle Department 01- Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08, 10/13/09 Page 2 of 3